Health Indicator Report of Neonatal Mortality
Neonatal deaths make up a large proportion of infant mortality and child deaths. Mortality during the neonatal period is an important indicator to measure newborn and maternal health status and medical care (pre and post delivery). Poor reproductive health and birth outcomes are dependent on a variety of different factors. Some of these factors are well known while many others have not been identified or are less clear. Some known risk factors for having poor reproductive health and birth outcomes are pregnancy history, exposures to infections, use of medicines and exposure to chemicals in the environment, alcohol or drug use, poor medical care, chronic health problems, and smoking as well as socioeconomic factors.
Rate of Neonatal Mortality by Year, Utah, 1989-2006
Data SourceOffice of Vital Records and Statistics, Utah Department of Health
DefinitionNeonatal: The number of deaths of children during the first 28 complete days of age, per 1,000 live births. Post Neonatal: The number of deaths of children greater than 28 days of age to less than 1 year of age, per 1,000 live births.
NumeratorThe number of deaths of children under 28 days of age, among Utah live births for a given time period.
DenominatorNumber of live births in Utah for a given time period.
Healthy People Objective MICH-1.4:Neonatal deaths (within the first 28 days of life)
U.S. Target: 4.1 neonatal deaths per 1,000 live births
What Is Being Done?Improvements in early obstetric intervention and perinatal and postneonatal care have been linked to this decline in infant mortality. However, there still remain significant disparities among various racial/ethnic groups. The UDOH Maternal and Child Health Bureau is currently 1) reviewing data obtained from the Pregnancy Risk Assessment Monitoring System (PRAMS), the SIDS Program, and the Perinatal Mortality Review Program (PMRP) to identify modifiable risk factors for infant mortality and develop appropriate interventions; 2) making health information available on-line for researchers, students, health care professionals, and the general public to increase awareness of factors associated with infant death (i.e. the Indicator Based Information System (IBIS) database and the Reproductive Health Program website); 3) providing public education regarding danger signs during pregnancy and the importance of prompt action when recognized; 4) continuing education to promote the Back to Sleep Campaign and other sleeping safety issues and disseminate findings related to the reduction of SIDS and postneonatal deaths; and 5) educating prenatal health care providers to help pregnant clients cease smoking to reduce the postneonatal mortality rate and reduce low birth weight births which contribute to neonatal mortality.
Available ServicesUtah's Baby Watch program provides early identification for developmental delays in children less than three years of age. In addition to identification, Baby Watch offers services to address developmental delays so the child may live a more normal healthy life. For more information, call 1-800-961-4226. Baby Your Baby is a Utah program that promotes adequate prenatal healthcare. In addition to providing information, Baby Your Baby offers financial assistance through a form of Prenatal Medicaid. For more information, call 1-800-826-9662. The Children's Health Insurance Program (CHIP) provides health insurance to children from low-income families that do not have any other health insurance. For more information, call the CHIP Hotline for an application, at 1-877-KIDS-NOW. The Bureau of Children With Special Health Care Needs provides access and referrals to specialty care to children under the age of 18 with special health care needs. For more information, call 801-584-8284. The Utah Neonatal Follow-up Program complements primary care for at-risk infants. The program offers 2 year follow-up services to infants born with serious health risks such as prematurity, extremely low birth weight, hypoxic ischemic encephalophathy, or severe cardiac and respiratory impairments. For more information, email NFP@utah.gov, or call 801-584-8246. The Women, Infants and Children Program (WIC) is a program to provide supplemental food and nutrition education to low-income pregnant women, new mothers, and young children. For more information, call 1-877-WIC-KIDS.
Page Content Updated On 07/31/2012, Published on 08/01/2012